Individual provider Active NPI

Elizabeth Dionne Eddy, M.S.

  • Professional Counselor
  • Finleyville, PA
National Provider Identifier
1205143237
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003193 Issued in PA
Practice address
81 Walter Long Dr
Finleyville, PA 15332
Phone
(724) 255-6318
Fax
(724) 489-4947
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC003193 PA Primary

Addresses

Primary practice location

81 Walter Long Dr
Finleyville, PA 15332

Mailing address

13 Daily Ave
Charleroi, PA 15022-3111
Phone (724) 255-6318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314003819 PA Practitioner - Mental Health Counselor 4183060957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western PA Behavioral Health ResourcesGroup PAC ID 4183772858, 21 clinicians

Practice addresses (Care Compare)

111 Roberts Rd
Suite 150
Grindstone, PA 15442-2104
Phone (724) 785-4346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Western PA Behavioral Health Resources LLC CurrentSince Feb 10, 2024 Accepting new patients

Locations

111 Roberts Rd
Ste 150
Grindstone, PA 15442
Phone (724) 785-4346

707 Ligonier St
Latrobe, PA 15650
Phone (724) 537-9515

5301 Grove Rd
Ste M123
Pittsburgh, PA 15236
Phone (412) 677-9100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1205143237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DAILY AVE",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150223111",
            "telephone_number": "724-255-6318",
            "fax_number": "724-489-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WALTER LONG DR",
            "city": "FINLEYVILLE",
            "state": "PA",
            "postal_code": "15332",
            "telephone_number": "724-255-6318",
            "fax_number": "724-489-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "ELIZABETH",
        "middle_name": "DIONNE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Finleyville, PA

Sources for this page

Verify at the official NPI Registry.